Dr. Jonathan Glyndon Knutson
Optometrist
5630 S 84th St Suite 120
Lincoln
, Nebraska 68516-4427
Dr. Jonathan Glyndon Knutson
Optometrist
5630 S 84th St Suite 120
Lincoln
, Nebraska 68516-4427
(402) 488-2211
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Jonathan Glyndon Knutson
- 5630 S 84th St Suite 120
- Lincoln, NE
- Zip : 68516-4427
- Phone : (402) 488-2211
Second Address
- Dr. Jonathan Glyndon Knutson
- 5630 S 84th St Suite 120
- Lincoln, NE
- Zip : 68516-4427
- Phone : (402) 488-2211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1147 | NE |
National Provider Identifier
| NPI | 1003800012 |
|---|---|
| Provider Name | Dr. Jonathan Glyndon Knutson |
| First Address | Lincoln, NE 68516-4427 |
| Second Address | Lincoln, NE 68516-4427 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2005 |
| Last Update Date | 20/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36755 | BCBS (01) | NE |
| U76085 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.